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Part II ISQ Club - Child/Adolescent/LD Psychiatry

16 posts in this topic

Part II ISQ Club - Child/Adolescent/LD Psychiatry

20 Part II ISQs on two topics will be posted twice a week. You are encouraged to post a reply in the thread, stating whether you think an ISQ is true or false and why (eg. a short explanation, with reference to the textbook you used). Please only deal with one ISQ in each post and include the question as the first line of your post. All ISQs are taken from previous posts by Forum members.

In a few days this ISQ Club thread will be moved to the Question Bank board. If you submit an answer, your status will be changed to 'Question Bank member' and you will be able to see the Question Bank board. Please allow up to 48 hours for this change to happen.

1 Insecure attachment may result in disinhibited behaviour

2 The theory of mind refers to being able to believe in/understand false beliefs in others

3 The heredity of conduct disorder is 0.1-0.2

4 School refusal greater in girls than in boys

5 Specific reading disorder is associated with hard neurological signs

6 Children with chronic fatigue syndrome have more emotional problems than those with chronic juvenile arthritis

7 Self injury in LD is improved with naltrexone

8 Down's syndrome is the most common cause of severe learning disability

9 Lack of empathy is a characteristic feature of Asperger's syndrome

10 Adolescents have more of symptoms related to body perception in psychosis

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2 The theory of mind refers to being able to believe in/understand false beliefs in others

True

Piaget claimed that kids under seven know little about others' point of view and intentionality. With increasing age a child comes to formulate a 'theory of mind'. The 'deceptive box task' shows that a 4 year old child can correctly predict another person's behaviour by taking into account a false belief which the child supposes the other person entertains.

A three year old is at a stage in devlopment where this doesn't hold and so has difficulty differentiating belief from world and fails to acknowledge false belief. Autism is thought (Frith, 1989) to have a retarded theory of mind as a central feature- and this is largely responsible for many of the difficulties autistic children have in dealing with others. They are unable to empathise or go beyond the literal message meaning because they fail to think/conceive of people as beings with minds (ref College Seminars on psychology,pp17 - 19) ;)

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Lack of empathy is a characteristic feature of Asperger's syndrome

FALSE

Asperger's interested in social interactions & show IMPAIRED empathy not lack of empathy

(Page 44, Child Psychiatry, Goodman & Scott)

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Down's syndrome is the most common cause of severe learning disability

TRUE

(Page175, Child Psychiatry, Goodman & Scott)

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Self injury in LD is improved with naltrexone

TRUE

Naltrexone probably prevents release of endogenous opioids that are associated with self-injury.

Other drugs useful in aggression & self-injurious behaviour:

1. Lithium

2.Carbamazepine

3.Valproic acid

4. Risperidone

(Page 1153, Synopsis of Psychiatry, Kaplan & Sadock)

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Specific reading disorder is associated with hard neurological signs

FALSE

SRD associated with soft (minor) neurological signs

(Page 685, Oxford Textbook of Psychiatry, 3rd Ed, Gelder et al)

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School refusal greater in girls than in boys

FALSE

Equally common in boys & girls.

(Page 74, Child Psychiatry, Goodman & Scott)

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1. TRUE

ICD10 - F94.2 Disinhibited Attachment Disorder of childhood (assuming insecure attachment means abnormal attachment from its diffuse nature)

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downs syndrome is the most common caause of severe leaarning disability...

false i would say becasue it is the most common cause of learning disability but not severe? cretinism is i think the most common cause of severe learning disability?

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8 Down's syndrome is the most common cause of severe learning disability

I think it is false. It may be the commenest chromosomal abnormality to cause severe MR, BUT not the most common cause in general.

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10- Adolescents have more of sumptoms related to body perception in psychosis.

I dont know the unswer. I would guess and say false( I may be wrong)

Characteristics of adolescent psychosis are:

poor premorbid functioning, below average IQ, incidious onset, stong family history, predominantly negative symptoms and severe and unremitting course.

SEE ADVANCES IN PSYCH. TREATMENT- HOLLIS 2000

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Down's syndrome is the most common cause of severe LD

True (in certain populations)

Ref: Seminars in Psychiatry of LD II edition Page 24

Congenital hypothyroidism is probably true in developing countries

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2 The theory of mind refers to being able to believe in/understand false beliefs in others

false

it refers to the understanding of other people's desires,beliefs,intentions or motives

ref:psychiatric dictionary

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8 Down's syndrome is the most common cause of severe learning disability

true

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6 Children with chronic fatigue syndrome have more emotional problems than those with chronic juvenile arthritis

true

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